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MRS. KATHRYN MARTIN LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
Mailing address
374 DAUGHDRILL RD, SILVER CREEK, MS 39663-4218
(160) 169-5494

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
590746
MS

Other

Enumeration date
07/24/2020
Last updated
07/24/2020
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